Herpes

Herpes – Causes, Symptoms and Treatment

Herpes Simplex 1 and Herpes Simplex are viruses that can cause disease in both female and male genitalia.

  • In active disease, herpes is easily transmitted to a partner during sexual activity.
  • Genital herpes is not in itself dangerous in otherwise healthy patients, but can cause painful and troublesome outbreaks.
  • There is no curative treatment for herpes, but the symptoms can be alleviated and the duration of the disease shortened.

If you have previously been diagnosed with herpes and experience the same symptoms as the previous outbreak, you can get a self-service prescription for herpes.

If you want to talk to an experienced doctor, you can book an appointment via video or in the clinic.

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What is herpes?

Herpes is a virus, and about 30% of the adult population are carriers. There are two types, HSV1 and HSV2. HSV1 is primarily associated with mouth ulcers, but easily infects the genitals and can also cause genital outbreaks. Recurrence (relapse) is less common with HSV1, however.

HSV2 is associated with more frequent genital outbreaks. Herpes virus is the most common cause of genital sores. Not everyone who is infected with herpes will have an outbreak and it seems to be random who gets this. If you are first infected with herpes, the virus will remain in the body for the rest of your life. Herpes virus collects in sores and blisters during outbreaks and this is transmitted to the partner during intercourse, oral sex, kissing or other physical contact.

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Symptomes of herpes

In herpes outbreaks, sores and blisters occur on and in the area around the genitals.

  • For women, this includes the outer and inner labia, the vulva and, in some cases, the outer parts of the vagina. Changes may also occur in the area around the rectal opening.
  • For men, ulcers can occur on the penis, the foreskin, the outer part of the urethra and the area around the root of the penis and the anus.

The wounds are painful, and some will also feel a general feeling of illness, with fever, reduced general condition and muscle aches.

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How to prevent herpes

Herpes is highly contagious during an ongoing outbreak, i.e. when there are open sores or blisters that come into contact with a partner. It is recommended to avoid sexual contact during outbreaks. Condoms will have a limited effect. Herpes is not contagious in the latent phase.

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How can Dr.Dropin help you?

The doctors at Dr.Dropin have good experience in dealing with herpes. First of all, we will take samples from current changes and confirm the diagnosis. During outbreaks, antivirals can treat, preferably tablets, shorten the duration of the illness and relieve the patient's discomfort. Such treatment is offered where there is no good reason not to. We also have the opportunity to relieve pain with the right tools.

Patients with frequent outbreaks will be considered too fixed treatment. In case of severe outbreaks, you will be referred to the specialist health service.

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I am pregnant and have had a herpes outbreak. Will this have consequences for my child?

If you were to have an ongoing outbreak at birth, there is a high probability (30-50%) that you will infect the child. Neonatal herpes infection can be serious and will require treatment in a specialist health service. The risk of infecting children with latent disease is low and requires no follow-up beyond usual prenatal care.

I have had herpes outbreaks. Can I infect my partner?

You will not infect your partner as long as you do not have an outbreak.

I have sores on my genitals. How do I know this is herpes?

The doctor will take a sample for PCR from the wound fluid. This will confirm or deny the diagnosis.

I'm pretty sure I have herpes. Can I get treatment before I get an answer to PCR?

If the doctor finds it likely that you have herpes, he will start treatment before the test results exist unless there is a good reason not to.

How much does the treatment for herpes cost?

In addition to consultation with a doctor, tablet treatment will cost approx. NOK 500.

Can I infect my partner when I have herpes cold sores?

Yes. The herpes virus lies in the sores and will spread to the partner through physical contact.

Can herpes be transmitted through anal sex?

Yes.

How long does the treatment take?

5-10 days, depending on the intensity of the outbreak.

What does it mean to have latent herpes?

This means that the person in question is infected with herpes, but as of now does not have an ongoing outbreak.

I have had my first herpes outbreak. How often can I expect that I will receive an outbreak?

40% of women will have recurrent outbreaks in the first year. The figure is somewhat lower for men.

How long is herpes contagious?

Herpes virus can be secreted and transmitted even outside of an outbreak, especially just before the outbreak. As a rule of thumb, you are considered contagious from the time you start to feel itching and tingling in your skin until the sores have healed. Therefore, avoid intercourse and oral sex while you have an outbreak to reduce the risk of transmission.

What can you get herpes from?

The herpes virus can be transmitted through direct skin contact, mucous membranes and saliva. Most people get oral herpes already as children when they share food and drink with parents or other children, which can lead to HSV-1 or HSV-2 infection via saliva. The risk of infection also increases during an active outbreak with sores or blisters.

Can you suddenly get herpes?

Yes, it is possible to get herpes even if you have not previously had symptoms or been diagnosed with the infection. Many people infected with the herpes virus experience no or very mild symptoms, and some may be infected without realizing it. It is also possible to get a first infection with the herpes virus long after you have been exposed to the virus.

Can herpes be caused by stress?

Yes, stress can trigger outbreaks of herpes in people who are already infected with the virus. Stress can weaken the immune system, and this can cause the herpes virus to be reactivated, resulting in an outbreak of sores or blisters. However, it is important to note that stress does not usually cause the first infection with the herpes virus, but can contribute to repeated outbreaks in people who are already infected.

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